BRENTWOOD, INC.
NPI 1053193326
Nursing Facility/Intermediate Care Facility in Anaheim, CA

Active since October 19, 2023CLIA 05D2304772 · Waiver
1767 W BRENTWOOD PL, ANAHEIM, CA 92804(714) 491-2840(714) 778-3807 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 18, 2025, Oct 19, 2023 (2 updates tracked since 2023).

About Brentwood, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENTWOOD, INC. (NPI 1053193326) is a healthcare organization registered as a nursing facility/intermediate care facility in Anaheim, California and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through May 16, 2028 and lists Lourdes Rogers Decenzo, President/cfo, as its authorized official.

NPPES Registry Identity

NPI1053193326
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameBRENTWOOD, INC.
Location Address1767 W BRENTWOOD PLAnaheim, CA 92804-2508
Mailing Address1767 W Brentwood PlAnaheim, CA 92804-2508 · (714) 491-2840 · Fax (714) 778-3807
Fax(714) 778-3807
Organization SubpartNo
Authorized OfficialLourdes Rogers DecenzoPresident/cfo · (714) 296-1597
Enumeration DateOctober 19, 2023
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
NPI 1053193326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

1767 W BRENTWOOD PL, Anaheim, CA 92804

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2304772

Brentwood Inc · Anaheim, CA
Active · expires May 16, 2028
CLIA Number05D2304772
Laboratory TypeIcf/Dd-N
Certificate Effective DateMay 17, 2026
Certificate Expiration DateMay 16, 2028
Laboratory DirectorNishchal Kumar
Laboratory Phone(714) 491-2840
Laboratory LocationBrentwood Inc1767 W Brentwood Pl, Anaheim, CA 92804
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brentwood, Inc.'s NPI number?

The NPI number for Brentwood, Inc. is 1053193326. It was assigned to this organization in the NPPES registry on October 19, 2023.

Where is Brentwood, Inc. located?

Brentwood, Inc. is located at 1767 W Brentwood Pl, Anaheim, CA 92804. The listed phone number is (714) 491-2840.

What is Brentwood, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Brentwood, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2304772) is associated with this NPI, valid through May 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brentwood, Inc. was last updated on March 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.